Organization
JACK B SHARE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK BENNET SHARE (CHIEF EXECUTIVE OFFICER)
(617) 742-1350
Entity
Organization
Contact information
Practice address
31 STATE ST, BOSTON, MA 02109-2705
(617) 742-1350
Mailing address
31 STATE ST, BOSTON, MA 02109-2705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15456
MA
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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